About Us
Unmatched Focus
We are focused solely on the rural healthcare community. No other risk management or insurance agency focuses 100% on rural healthcare. Our insight fuels a passion for finding ways to deliver service and value that others won’t and can’t.
Our Purpose
Because we believe people living in rural communities deserve the best possible health care, our purpose is to ensure the people, services, and facilities they depend upon are protected from risk and empowered to thrive.
Our motto, “Never Go It Alone”, describes our commitment to encouraging and facilitating collaboration among rural healthcare leaders who share our purpose.
Core Values
- Do what you say you are going to do
- Respect yourself and one another
- Seek first to understand then to improve
- Earn and give trust
- Serve with a servant's heart
Meet Our Team
Brant Couch, CPA, CIC
Managing Partner
Brant leads business development, programs, and strategic account management in the Austin Office. Their office is one of the largest specialized insurance brokerage and consulting groups in the US, serving over 130 hospitals. For over twenty years, he has worked closely with healthcare clients and essential groups such as the Texas Organization of Rural and Community Hospitals (TORCH), the Texas Hospital Association (THA), and the National Rural Health Association (NRHA) to develop new and better ways to ensure the success of healthcare providers. He specializes in building captive and group purchasing programs to drive economic efficiencies for all types of hospitals across the country.
Frequently published and a popular speaker, Brant previously served as a recognized business development leader and auditor at Ernst & Young for eight years, specializing in working with healthcare and emerging growth companies nationwide. Prior to that, he held several positions with Central Texas Medical Center and the Texas State Senate. He holds a BBA in Accounting from Texas State University, is a CPA, and a member of the American Institute of Certified Public Accountants. Brant serves on the Dell Seton Medical Center Community Leadership Council, whose mission is to change healthcare and the economic future of Central Texas. He recently served on the advisory board of Concordia University's Healthcare Administration Program.
Jennifer Fudge, RPLU
Senior Partner
Jennifer has spent most of her life in the insurance business; you could say it runs in the family, as she is a third-generation insurance agent. Jennifer started her career with Hobbs Group, specializing in large construction accounts. She then spent 14 years with Independent Insurance Agents of Texas, managing their professional liability division. After IIAT, Jennifer joined the HealthSure team in 2013. Jennifer is a graduate of the University of Texas at Austin with a degree in finance. She also has her Registered Professional Liability Underwriter (RPLU) designation. Jennifer has been a speaker on both professional liability topics and organizational management. Jennifer has also written articles on new professional liability products and market trends.
Krista Adamson, CIC, CISR
Property & Casualty Team Lead
Krista leads the P&C service team in serving the unique and evolving needs of our healthcare clients. She has more than 15 years of experience in commercial lines insurance and customer service. Krista is committed to delivering exceptional client experience through leadership, relationships, and creativity. As your insurance and risk management advocate, she is skilled in developing and delivering innovative solutions to exceed the expectations of hospital and physician group leaders. Krista has attained professional designations as a Certified Insurance Service Representative (CISR) and a Certified Insurance Counselor (CIC).
Jessica Martinez, NA
Employee Benefits Team Lead
With over 20 years of experience in Employee Benefits, Jessica specializes in strategic account management, business development, risk management, and client relations. She delivers tailored healthcare solutions that enhance talent acquisition and retention while ensuring compliance with complex healthcare regulations.
Passionate about holistic wellness, Jessica integrates mental, physical, and financial well-being into benefits programs to deliver value to clients and their workforces. Her collaborative approach with internal and external stakeholders ensures superior outcomes and long-term success.
EXPERT EDUCATION
Events and Webinars
Property and Casualty
Unlocking Our 2026 P&C Market Outlook: High Level & Field Level Insights for Clients
Join EVP and Property and Casualty Practice Leader Justin Foa for an informative conversation on key findings and takeaways from Alera Group's annual flagship 2026 Property and Casualty Market Outlook Report.
January 20, 2026 at 01:00 pm CT | Virtual
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Employee Benefits
Foundations – Understanding the Multigenerational Workforce
In our three-part webinar series, Designing Benefits That Work – A Data-Driven, Multigenerational Focus, we’ll explore multigenerational workforce insights, debunk generational myths, share early- and late-career planning strategies, review legal and compliance trends and provide actionable tools and resources.
January 21, 2026 at 10:00 am CT | Virtual
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Employee Benefits
Designing Benefits for Early - and Mid-Career Employees
In our three-part webinar series, Designing Benefits That Work – A Data-Driven, Multigenerational Focus, we’ll explore multigenerational workforce insights, debunk generational myths, share early- and late-career benefit strategies, review legal and compliance trends, and provide actionable tools and resources.
February 4, 2026 at 10:00 am CT | Virtual
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THOUGHT LEADERSHIP
Insights
Property and Casualty
Are you prepared for 2026? Property and Casualty Trends Uncovered
The sixth annual Property and Casualty Market Outlook from Alera Group sets the stage for how organizations can recalibrate their risk strategies in 2026. Built on thousands of data points — including a nationwide survey of insurance company partners and wholesale intermediaries — this report delivers actionable insights for insurance buyers, risk managers and business leaders.
December 17, 2025
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Legal Alert: Agencies Clarify How Certain Fertility Benefits May be Treated as Excepted Benefits
This alert is of interest to all employers that offer fertility benefits or may be interested in offering fertility benefits in the future.
November 4, 2025
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Top 5 Insurance Surprises Businesses Face in Q4 — and How to Prevent Them
As year-end approaches, many organizations focus on closing out financials and planning for the year ahead. It’s also the time when insurance programs often reveal unexpected challenges, some avoidable, others the result of shifting market conditions or overlooked details.
October 30, 2025
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Legal Alert: IRS Adjusts Health Flexible Spending Account and Other Benefit Limits for 2026
This alert is of interest to all employers that sponsor health FSAs and qualified transit plans, among others.
October 10, 2025
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